Mondelli Maria Fernanda Capoani Garcia, Cabreira Aline Faure, Matos Izabella Lima de, Ferreira Maria Carolina, Rocha Andressa Vital
Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil.
Int Arch Otorhinolaryngol. 2021 Apr;25(2):e205-e212. doi: 10.1055/s-0040-1713377. Epub 2020 Jun 23.
Tinnitus is a disorder that affects 10 to 15% of de world's population. Sound therapy performed through hearing aids (HAs) with integrated sound generator (SG) is one of the forms of tinnitus treatment. To analyze the effectiveness of four masking noises in relieving tinnitus in individuals with mild and moderate bilateral sensorineural hearing loss and their influence in speech perception. The participants were 35 individuals with tinnitus and mild and moderate bilateral sensorineural hearing loss, divided into four groups. All groups underwent HA and SG adaptation, being regulated in the combined mode (HA and SG). In group 1 (G1), the white noise stimulus was applied, in group 2 (G2), pink noise was applied, in group 3 (G3), speech noise, and in group 4 (G4), the high tone was applied. All patients were subjected to the following procedures: audiological diagnosis, acuphenometry, tinnitus handicap inventory (THI), visual analogue scale (VAS), and hearing in noise test (HINT). The procedures were performed prior to and after hearing intervention, and after 3 months of use of HA and SG. All groups presented a statistically significant difference for the THI, VAS, and HINT pre and postintervention. In the case of the HINT, only pink noise presented a significant difference. However, in the comparation among groups there was no significant difference. The present study made it possible to conclude that the four noises were equally effective in relieving tinnitus, with no statistically significant differences between the analyzed groups.
耳鸣是一种影响全球10%至15%人口的疾病。通过带有集成声音发生器(SG)的助听器(HA)进行的声音疗法是耳鸣治疗的形式之一。
为了分析四种掩蔽噪声对缓解轻中度双侧感音神经性听力损失患者耳鸣的有效性及其对言语感知的影响。
研究对象为35例患有耳鸣且伴有轻中度双侧感音神经性听力损失的患者,分为四组。所有组均进行了HA和SG适配,并以组合模式(HA和SG)进行调节。第1组(G1)施加白噪声刺激,第2组(G2)施加粉红噪声,第3组(G3)施加言语噪声,第4组(G4)施加高音。所有患者均接受以下检查:听力学诊断、耳鸣测听、耳鸣障碍量表(THI)、视觉模拟量表(VAS)和噪声环境下听力测试(HINT)。这些检查在听力干预前后以及使用HA和SG 3个月后进行。
所有组在干预前后的THI、VAS和HINT方面均呈现出统计学上的显著差异。就HINT而言,只有粉红噪声呈现出显著差异。然而,在组间比较中没有显著差异。
本研究得出的结论是,这四种噪声在缓解耳鸣方面同样有效,各分析组之间在统计学上没有显著差异。